<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<script type="text/javascript" src="<%=request.getContextPath()%>/app/js/jquery-1.4.4.min.js"></script>
<meta http-equiv="Content-Type" content="text/html; charset=gb2312" />
<title></title>
<style type="text/css">
<!--
.STYLE1 {
	font-family: "宋体";
	font-size: 14px;
}
.STYLE4 {font-family: "宋体"; font-size: 12px; }
-->
	input {border:none;}
	body{font-size: 12px;}
	.table_1{border-right:1px solid black; border-top:1px solid black}
	.table_1 td{border-left:1px solid black; border-bottom:1px solid black;}
	.STYLE2 {color: #FFCC00}
</style>

<script> 
var hkey_root,hkey_path,hkey_key 
hkey_root="HKEY_CURRENT_USER" 
hkey_path="file://software//Microsoft//Internet Explorer\\PageSetup\\" 
//设置网页打印的页眉页脚为空 
function pagesetup_null(){ 
try{ 
var RegWsh = new ActiveXObject("WScript.Shell"); 
hkey_key="header";
RegWsh.RegWrite(hkey_root+hkey_path+hkey_key,""); 
hkey_key="footer";
RegWsh.RegWrite(hkey_root+hkey_path+hkey_key,""); 
}catch(e){} 
} 
//设置网页打印的页眉页脚为默认值 
function pagesetup_default(){ 
try{ 
var RegWsh = new ActiveXObject("WScript.Shell");
hkey_key="header" ;
RegWsh.RegWrite(hkey_root+hkey_path+hkey_key,"&w&b页码，&p/&P"); 
hkey_key="footer" ;
RegWsh.RegWrite(hkey_root+hkey_path+hkey_key,"&u&b&d"); 
}catch(e){} 
} 
function setdivhidden(id){//把指定id以外的层统统隐藏 
document.getElementById("div0").style.display="none"; 
}
function setdivvisible(id){//把指定id以外的层统统显示 
document.getElementsByTagName("div0").display="block"; 
} 
function printpr() //预览函数 
{ 
pagesetup_null();//预览之前去掉页眉，页脚 
setdivhidden("div1");//打印之前先隐藏不想打印输出的元素 
var WebBrowser = '<OBJECT ID="WebBrowser1" WIDTH=0 HEIGHT=0 CLASSID="CLSID:8856F961-340A-11D0-A96B-00C04FD705A2"></OBJECT>'; 
document.body.insertAdjacentHTML('beforeEnd', WebBrowser);//在body标签内加入html（WebBrowser activeX控件） 
WebBrowser1.ExecWB(7, 1);//打印预览 
WebBrowser1.outerHTML = "";//从代码中清除插入的html代码 
pagesetup_default();//预览结束后页眉页脚恢复默认值 
setdivvisible("div1");//预览结束后显示按钮 
} 
function print() //打印函数 
{ 
pagesetup_null();//打印之前去掉页眉，页脚 
setdivhidden("div1"); //打印之前先隐藏不想打印输出的元素 
var WebBrowser = '<OBJECT ID="WebBrowser1" WIDTH=0 HEIGHT=0 CLASSID="CLSID:8856F961-340A-11D0-A96B-00C04FD705A2"></OBJECT>'; 
document.body.insertAdjacentHTML('beforeEnd', WebBrowser);//在body标签内加入html（WebBrowser activeX控件） 
WebBrowser1.ExecWB(6, 1);//打印 
WebBrowser1.outerHTML = "";//从代码中清除插入的html代码 
pagesetup_default();//打印结束后页眉页脚恢复默认值 
setdivvisible("div1");//打印结束后显示按钮 
} 

$(document).ready(function() {
	var rescueCategoryVO = "${emergency.rescueCategory}";
	if(document.getElementById("jinan").value == rescueCategoryVO){
		$("input[id='jinan']").attr("checked",true);
	} else if(document.getElementById("zhichu").value == rescueCategoryVO){
		$("input[id='zhichu']").attr("checked",true);
	} else if(document.getElementById("kunjing").value == rescueCategoryVO){
		$("input[id='kunjing']").attr("checked",true);
	} else if(document.getElementById("qita").value == rescueCategoryVO){
		$("input[id='qita']").attr("checked",true);
	}
	//紧急程度
	var typeVO = "${emergency.type}";
	if(document.getElementById("ybjz").value == typeVO){
		$("input[id='ybjz']").attr("checked",true);
	} else if(document.getElementById("jjjz").value == typeVO){
		$("input[id='jjjz']").attr("checked",true);
	}
	//救助类型
	var peopleTypeVO = "${emergency.peopleType}";
	if(document.getElementById("geren").value == peopleTypeVO){
		$("input[id='geren']").attr("checked",true);
	} else if(document.getElementById("jiating").value == peopleTypeVO){
		$("input[id='jiating']").attr("checked",true);
	}

	//城镇类型
	var accountTypeVO = "${emergency.accountType}";
	if(document.getElementById("nongchun").value == accountTypeVO){
		$("input[id='nongchun']").attr("checked",true);
	} else if(document.getElementById("chengshi").value == accountTypeVO){
		$("input[id='chengshi']").attr("checked",true);
	}
	
	//户籍属地
	var registrationVO = "${emergency.registration}";
	if(document.getElementById("bendi").value == registrationVO){
		$("input[id='bendi']").attr("checked",true);
	} else if(document.getElementById("feibendi").value == registrationVO){
		$("input[id='feibendi']").attr("checked",true);
	}
	
	//救助方式
	var safeWayVO = "${emergency.safeWay}";
	if(document.getElementById("dibao").value == safeWayVO){
		$("input[id='dibao']").attr("checked",true);
	} else if(document.getElementById("feidibao").value == safeWayVO){
		$("input[id='feidibao']").attr("checked",true);
	}
	//审批情况
	var approveTypeVO = "${emergency.approveType}";
	var people = "${emergency.people}";
	var month = "${emergency.month}";
	var standard = "${emergency.standard}";
	var wayVO = "${emergency.way}";
	var money = "${emergency.money}";
	if(document.getElementById("shjy").value == approveTypeVO){
		$("input[id='shjy']").attr("checked",true);
		$("input[id='people2']").val(people);
		$("input[id='month2']").val(month);
		$("input[id='standard2']").val(standard);
		if(document.getElementById("shehuihua").value == wayVO){
			$("input[id='shehuihua2']").attr("checked",true);
			document.getElementById("money3").value=money;
		} else if(document.getElementById("xianjin").value == wayVO){
			$("input[id='xianjin2']").attr("checked",true);
			document.getElementById("money4").value=money;
		};
	} else if(document.getElementById("xesp").value == approveTypeVO){
		$("input[id='xesp']").attr("checked",true);
		$("input[id='people1']").val(people);
		$("input[id='month1']").val(month);
		$("input[id='standard1']").val(standard);
		//救助方式
		if(document.getElementById("shehuihua").value == wayVO){
			$("input[id='shehuihua']").attr("checked",true);
			document.getElementById("money1").value=money;
		} else if(document.getElementById("xianjin").value == wayVO){
			$("input[id='xianjin']").attr("checked",true);
			document.getElementById("money2").value=money;
		};
	}
	//申请事由
	var applyCauseVO = "${emergency.applyCause}";
	if(document.getElementById("hz").value == applyCauseVO){
		$("input[id='hz']").attr("checked",true);
	} else if(document.getElementById("jt").value == applyCauseVO){
		$("input[id='jt']").attr("checked",true);
	}else if(document.getElementById("tf").value == applyCauseVO){
		$("input[id='tf']").attr("checked",true);
	}else if(document.getElementById("kj").value == applyCauseVO){
		$("input[id='kj']").attr("checked",true);
	}else if(document.getElementById("zc").value == applyCauseVO){
		$("input[id='zc']").attr("checked",true);
	}else if(document.getElementById("qt").value == applyCauseVO){
		$("input[id='qt']").attr("checked",true);
	}
	

});
</script> 

<!-- START JS为radio赋值 -->
</head>

<body>
<center>
<div id="div0"> 
<input type="button" onclick="printpr();"  value="打印预览"> 
<input type="button" onClick="print();" value="打印"> <p>
</div> 
<div id="div1"> 
	<!-- START 申请表第一页 -->
	<div style="height:842px;width:668px;"><br>
		<div style="float:left;font-size:16px;">救助类别：<input name="rescueCategory" id="jinan" type="checkbox" value="急难型" />急难型&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="rescueCategory" id="zhichu" type="checkbox" value="支出型"/>支出型<br>
			&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="rescueCategory" id="kunjing" type="checkbox" value="困境低保" />困境低保&nbsp;&nbsp;<input name="rescueCategory" id="qita" type="checkbox" value="其他" />其他
			<p>&nbsp;&nbsp;&nbsp;&nbsp;紧急程度：<input name="type" id="ybjz" type="checkbox" value="一般救助" />一般救助&nbsp;&nbsp;<input name="type" id="jjjz" type="checkbox" value="紧急救助"/>紧急救助
		</div>
		<div style="float:right; font-size:16px;">编号：<input name="" type="text" value="${emergency.numberNO}" size="22" style="border-top:none;border-left:none;border-right:none; border-bottom:1px solid black;"/>&nbsp;&nbsp;
		</div>
		
		<br><br><br><br><br><br><br><br><br><br><br><br><br>
		<div style="font-size:35px;">吉 林 省 临 时 救 助 审 批 表</div>
		<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
		<div style="font-size:18px;">
			居&nbsp;&nbsp;&nbsp;&nbsp;住&nbsp;&nbsp;&nbsp;&nbsp;地&nbsp;&nbsp;&nbsp;&nbsp;址：<input name="" type="text" value="" size="9" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>县（市、区）<input name="" type="text" value="" size="9" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>乡（镇、街）<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="" type="text" value="" size="9" style="margin-left:100px;border-top:none;border-left:none;border-right:none;border-bottom:1px solid black;"/>村（社区）<input name="" type="text" value="" size="30" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/><p>
			户&nbsp;&nbsp;&nbsp;&nbsp;籍&nbsp;&nbsp;&nbsp;&nbsp;地&nbsp;&nbsp;&nbsp;&nbsp;址：<input name="" type="text" value="" size="9" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>县（市、区）<input name="" type="text" value="" size="9" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>乡（镇、街）<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input name="" type="text" value="" size="9" style="margin-left:100px;border-top:none;border-left:none;border-right:none;border-bottom:1px solid black;"/>村（社区）<input name="" type="text" value="" size="30" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/><p>
			申&nbsp;&nbsp;请&nbsp;&nbsp;人<span style="font-size:12px;">&nbsp;（签&nbsp;字）</span>：<input name="" type="text" value="" size="21" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;联系电话：<input name="" type="text" value="" size="18" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/><p>
			代理人<span style="font-size:12px;">(签字或盖章)&nbsp;</span>：<input name="" type="text" value="" size="21" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;&nbsp;联系电话：<input name="" type="text" value="" size="18" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/><p>　　　　　　　　　　　　　　　　
	　　　　	<br><br><br>
			受理机构<span style="font-size:12px;">（公章）</span>：<input name="" type="text" value="" size="22" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;&nbsp;受理人：<input name="" type="text" value="" size="20" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/><p>
			受&nbsp;&nbsp;&nbsp;&nbsp;理&nbsp;&nbsp;&nbsp;&nbsp;时&nbsp;&nbsp;&nbsp;&nbsp;间：<input name="" type="text" value="" size="15" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;年&nbsp;&nbsp;<input name="" type="text" value="" size="10" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;月&nbsp;&nbsp;<input name="" type="text" value="" size="10" style="border-top:none;border-left:none;border-right:none;   border-bottom:1px solid black;"/>&nbsp;&nbsp;日<p>
			<br><br><br><br>
			<center><span style="font-size:22px;">吉&nbsp;&nbsp; 林&nbsp;&nbsp; 省&nbsp;&nbsp; 民 &nbsp;&nbsp;政&nbsp;&nbsp; 厅&nbsp;&nbsp; 监&nbsp;&nbsp; 制</span>
			</center>　　　　
		</div>
	</div>
	<!-- END 申请表第一页 --><br><br><br><br><br><br><br><br><br><br><br><br>
	<!-- START 申请表第二页 -->
	<div style="height:842px;width:668px;font-failmy:楷体"><br /><br /><br /><br /><br /><br />
		<div class="STYLE1" style="font-size:22px;"><strong>（相关证明材料粘贴处）</strong></div><br><br><br>
		<div style="border-bottom:1px dashed #000000;"></div>
		  <p align="left"><br>
	        <br><br><br><br><br><br>
      	<div align="center" style="font-family: 宋体; font-size:25px;">指 标 解 释</div><br><br>
      	<div align="left" style="font-family: 楷体; font-size:22px;">
		  &nbsp;&nbsp;&nbsp;<span class="STYLE6"><strong>1.“急难型困难家庭”</strong>指因火灾、交通事故等意外事件，或家庭成员突发重大疾病等原因，导致基本生活暂时出现严重困难，依靠自身能力无法解决的家庭。 <br>
		  &nbsp;&nbsp;&nbsp;<strong>2.“支出型困难家庭”</strong>指因医疗必需支出超出家庭承受能力，导致基本生活暂时出现严重困难，依靠自身能力无法解决的低收入家庭。<br>
		  &nbsp;&nbsp;&nbsp;<strong>3.“困境低保家庭”</strong>指因生活必需支出突然增加超出家庭承受能力，导致基本生活暂时出现严重困难的低保家庭。<br>
		  &nbsp;&nbsp;&nbsp;<strong>4.“其他困难家庭”</strong>指当地县级以上政府规定的遭遇其他特殊困难的家庭。<br>
		  &nbsp;&nbsp;&nbsp;<strong>5.“与户主关系”</strong>指配偶、父母、子女、孙子女或其他。<br>
		  &nbsp;&nbsp;&nbsp;<strong>6.“病种”</strong>指所患疾病简要名称。</span> <br>
		  &nbsp;&nbsp;&nbsp;<strong>7.“工资性收入”</strong>指就业人员通过各种途径得到的全部劳动报酬和各种福利，包括受雇于单位或个人、从事各种自由职业、兼职和零星劳动得到的全部劳动报酬和福利。同时扣除个人所得税和社会保障支出 <br>
		  &nbsp;&nbsp;&nbsp;<strong>8.“经营性收入”</strong>指从事生产经营活动所获得的净收入，是全部经营收入中扣除经营费用、生产性固定资产折旧和生产税之后得到的净收入。<br>
		  &nbsp;&nbsp;&nbsp;<strong>9.“财产净收入”</strong>指家庭成员所用用的金融资产、住房等非金融资产和自然资源交由其他机构、单位或个人使用而获得的回报病扣除相关费用之后得到的净收入。<br>
		  &nbsp;&nbsp;&nbsp;<strong>10.“转移净收入”</strong>指国家、单位、社会团队对居民的各种经常性转移支付和居民之间的经常性转移净收入。包括赡（抚、扶）养费、离退休金、失业保险金、社会救济金、遗嘱补助金、一次性安置费、经济赔偿（补助、补偿）金、定期给付的各种生活费、接受遗产、接受捐赠（赠送）等净收入。
  		<p>
        </div>
	</div>
	<!-- END 申请表第二页 -->
	<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
	<!-- START 申请表第三页 -->
	<label style="font-size:24px">临时救助申请人基本情况登记表</label>
<br> 
<br>
	<table width="668px"  border="0" align="center" cellpadding="0" cellspacing="0" class="table_1">
	  <tr>
	    <td height="20" colspan="7" bgcolor="#BFBFBF" align="left"><strong>申请人基本情况：</strong></td>
	    </tr>
	  <tr>
	    <td width="104" height="37"><div align="center">户主或本人姓名</div></td>
	    <td width="88"><input id="name" type="text" name="name" size="9" value="${emergency.name}"/></td>
	    <td width="87"><div align="center">性别</div></td>
	    <td width="67"><input id="sex" type="text" name="sex" size="9" value="${emergency.sex}"/></td>
	    <td width="71"><div align="center">家庭人口</div></td>
	    <td width="122"><input id="home" type="text" name="home" size="9" value="${emergency.home}"/></td>
	    <td rowspan="4"><img src="data:image/jpg;base64,${emergency.photo }" style="width: 80px; height: 90px" id="picture" name="picture" /></td>
	    </tr>
	  <tr>
	    <td height="33"><div align="center">
	      <p>公民身份证号</p>
	      </div></td>
	    <td colspan="5" align="left"><input id="identify" type="text" name="identify" size="18" value="${emergency.identify}"/></td>
	    </tr>
	  
	  <tr>
	    <td height="33"><div align="center">暂住证或居住证号</div></td>
	    <td colspan="5">&nbsp;</td>
	  </tr>
	  
	  <tr>
	    <td height="50"><div align="center">对象类别</div></td>
	    <td colspan="5" align="left">
	      <span><input id="geren" type="checkbox" name="peopleType"  value="个人对象" />个人对象&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="nongchun" name="accountType"  value="农村居民" />农村居民&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input id="bendi" type="checkbox" name="registration" value="本地户籍" />本地户籍&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="safeWay" id="dibao" value="低保对象" />低保对象</span><br>
	      <span><input type="checkbox" id="jiating" name="peopleType" value="家庭对象" />家庭对象&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="chengshi" name="accountType" value="城市居民" />城市居民 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="feibendi" name="registration" value="非本地户籍" />非本地户籍&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="feidibao" name="safeWay" value="非低保对象" />非低保对象</span></td>
	   </tr>
	    
	  <tr>
	    <td height="40"><div align="center">申请事由</div></td>
	    <td height="40" colspan="6" align="left"><span >
    		<input type="checkbox" id="hz" name="applyCause" value="火灾" />火灾
    		&nbsp;<input type="checkbox" id="jt" name="applyCause" value="交通事故" />交通事故
    		&nbsp;<input type="checkbox" id="tf" name="applyCause"  value="突发重大疾病" />突发重大疾病
    		&nbsp;<input type="checkbox" id="kj" name="applyCause" value="困境低保" />困境低保
    		&nbsp;<input type="checkbox" id="zc" name="applyCause" value="支出型困难" />支出型困难
    		&nbsp;<input type="checkbox" id="qt" name="applyCause" value="其他特殊困难" />其他特殊困难
    		<br><br>
    		&nbsp;（病种：<input type="text" name="causeDesc" id="causeDesc" size="50" value="${emergency.causeDesc}" style="border-bottom: 1px solid;"/>）
    	</span></td>
	  </tr>
	  <tr>
	    <td height="20" colspan="7" bgcolor="#BFBFBF" align="left"><strong>共同生活家庭成员情况：</strong></td>
	    </tr>
	  <tr>
	    <td height="33"><div align="center">姓名</div></td>
	    <td ><div align="center">性别</div></td>
	    <td><div align="center">与户主关系</div></td>
	    <td colspan="2"><div align="center">公民身份证号</div></td>
	    <td>暂住证或居住证号</td>
	    <td width="115"><div align="center">联系电话</div></td>
	  </tr>
	 <tr>
    <td height="20"><input id="c_name0" type="text" name="c_name" size="8"  value="${subs[0].name}"/></td>
    <td><input id="c_sex0" type="text" name="c_sex" size="5"  value="${subs[0].sex}"/></td>
    <td><input id="c_personRelation0" type="text" name="c_personRelation"  value="${subs[0].personRelation}"/></td>
    <td colspan="2"><input id="c_identify0" type="text" name="c_identify" size="18"  value="${subs[0].identify}"/></td>
    <td><input id="" type="text" name="" size="10"  value=""/></td>
    <td><input id="c_contact0" type="text" name="c_contact" size="11"  value="${subs[0].contact}"/></td>
  </tr>
  <tr>
    <td height="20"><input id="c_name1" type="text" name="c_name" size="8" value="${subs[1].name}"/></td>
    <td><input id="c_sex1" type="text" name="c_sex" size="8" value="${subs[1].sex}"/></td>
    <td><input id="c_personRelation1" type="text" name="c_personRelation"   value="${subs[1].personRelation}"/></td>
    <td colspan="2"><input id="c_identify1" type="text" name="c_identify" size="18" value="${subs[1].identify}"/></td>
     <td><input id="" type="text" name="" size="10"  value=""/></td>
    <td><input id="c_contact1" type="text" name="c_contact" size="11" value="${subs[1].contact}"/></td>
  </tr>
  <tr>
    <td height="20"><input id="c_name2" type="text" name="c_name" size="8" value="${subs[2].name}"/></td>
    <td><input id="c_sex2" type="text" name="c_sex" size="8" value="${subs[2].sex}"/></td>
    <td><input id="c_personRelation2" type="text" name="c_personRelation"   value="${subs[2].personRelation}"/></td>
    <td colspan="2"><input id="c_identify2" type="text" name="c_identify" size="18" value="${subs[2].identify}"/></td>
     <td><input id="" type="text" name="" size="10"  value=""/></td>
    <td><input id="c_contact2" type="text" name="c_contact" size="11" value="${subs[2].contact}"/></td>
  </tr>
  <tr>
    <td height="20"><input id="c_name3" type="text" name="c_name" size="8" value="${subs[3].name}"/></td>
    <td><input id="c_sex3" type="text" name="c_sex" size="8" value="${subs[3].sex}"/></td>
    <td><input id="c_personRelation3" type="text" name="c_personRelation"  value="${subs[3].personRelation}"/></td>
    <td colspan="2"><input id="c_identify3" type="text" name="c_identify" size="18" value="${subs[3].identify}"/></td>
    <td><input id="" type="text" name="" size="10"  value=""/></td>
    <td><input id="c_contact3" type="text" name="c_contact" size="11" value="${subs[3].contact}"/></td>
  </tr>
  <tr>
    <td height="20"><input id="c_name4" type="text" name="c_name" size="8" value="${subs[4].name}"/></td>
    <td><input id="c_sex4" type="text" name="c_sex" size="8" value="${subs[4].sex}"/></td>
    <td><input id="c_personRelation4" type="text" name="c_personRelation"   value="${subs[4].personRelation}"/></td>
    <td colspan="2"><input id="c_identify4" type="text" name="c_identify" size="18" value="${subs[4].identify}"/></td>
    <td><input id="" type="text" name="" size="10"  value=""/></td>
    <td><input id="c_contact4" type="text" name="c_contact" size="11" value="${subs[4].contact}"/></td>
  </tr>
	  
	   <tr>
	    <td height="20" colspan="7" bgcolor="#CCCCCC" align="left"><strong>家庭年收入情况：</strong></td>
	    </tr>
	  
	  <tr >
	    <td height="34"><div align="center">工资性收入</div></td>
	    <td height="34" colspan="2" align="left">共计_____________________元</td>
		<td height="34"><div align="center">经营净收入</div></td>
	    <td height="34" colspan="3" align="left">共计___________________元</td>
	  </tr>
	   <tr>
	    <td height="34"><div align="center">财产净收入</div></td>
	    <td height="34" colspan="2" align="left">共计_____________________元</td>
		<td height="34"><div align="center">转移净收入</div></td>
	    <td height="34" colspan="3" align="left">共计_____________________元</td>
	  </tr>
	  <tr>
	    <td height="34"><div align="center"><strong>收入合计</strong></div></td>
	    <td height="34" colspan="6" align="left">共计_____________________元</td>
	  </tr>
	   <tr>
	    <td height="20" colspan="7" bgcolor="#CCCCCC" align="left"><strong>家庭财产情况：</strong></td>
	    </tr>
	  
	  <tr>
	    <td height="34"><div align="center">现金</div></td>
	    <td height="34" colspan="2" align="left">共计_____________________元</td>
		<td height="34"><div align="center">银行存款</div></td>
	    <td height="34" colspan="3" align="left">共计_____________________元</td>
	  </tr>
	   <tr>
	    <td height="34"><div align="center">有价证券</div></td>
	    <td height="34" colspan="2" align="left">估值_____________________元</td>
		<td height="34"><div align="center">车辆(船舶)</div></td>
	    <td height="34" colspan="3" align="left">共计_____辆(艘)，估值：___________元</td>
	  </tr>
	  <tr>
	    <td height="34"><div align="center">其他财产</div></td>
	    <td height="34" colspan="2" align="left">估值_____________________元</td>
		<td height="34"><div align="center">大型农机</div></td>
	    <td height="34" colspan="3" align="left">共计_____辆，估值：___________元</td>
	  </tr>
	   <tr>
	    <td height="34"><div align="center">房产</div></td>
	    <td height="34" colspan="6" align="left">共计_____套，估值：_____________________元</td>
	  </tr>
	  <tr>
	    <td height="34"><div align="center"><strong>收入合计</strong></div></td>
	    <td height="34" colspan="6" align="left">共计_____________________元</td>
	  </tr>
	   <tr>
	    <td height="20" colspan="7" bgcolor="#CCCCCC" align="left"><strong>家庭年支出情况：</strong></td>
	    </tr>
	  
	  <tr>
	    <td height="34"><div align="center">生活支出</div></td>
	    <td height="34" colspan="2" align="left">共计_____________________元</td>
		<td height="34"><div align="center">医疗支出</div></td>
	    <td height="34" colspan="3" align="left">共计_____________________元</td>
	  </tr>
	   <tr>
	    <td height="34"><div align="center">教育支出</div></td>
	    <td height="34" colspan="2" align="left">共计_____________________元</td>
		<td height="34"><div align="center">其他支出</div></td>
	    <td height="34" colspan="3" align="left">共计_____________________元</td>
	  </tr>
	  <tr>
	    <td height="34"><div align="center"><strong>支出合计</strong></div></td>
	    <td height="34" colspan="6" align="left">共计_____________________元</td>
	  </tr>
	</table><br>
	------------------------------------------------------本页内容由申请人（或代理人）据实填写--------------------------------------------------------
	<!-- END 申请表第三页 -->
	<br><br><br><br><br><br><br><br><br>
	<!-- START 申请表第四页 -->
	<table width="668px" align="center" cellpadding="0" cellspacing="0" class="table_1">
  	<tr>
    	<td height="20" colspan="7" bgcolor="#BFBFBF" align="left"><strong>乡镇政府（街道办事处）审核或小额审批情况：</strong></td>
    </tr>
  	<tr>
    <td height="67" colspan="7" align="left"><p>
	<strong>1.信息核实情况</strong>：<p>
	&nbsp;&nbsp;&nbsp;基本信息：<input type="checkbox">属实　<input type="checkbox">不属实　说明：<input type="text" size="65" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;收入情况：<input type="checkbox">属实　<input type="checkbox">不属实　说明：<input type="text" size="65" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;财产情况：<input type="checkbox">属实　<input type="checkbox">不属实　说明：<input type="text" size="65" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;支出情况：<input type="checkbox">属实　<input type="checkbox">不属实　说明：<input type="text" size="65" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p><br>
	&nbsp;&nbsp;&nbsp;承办人签字：<input type="text" size="40" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">　　　　　　　　　　　　　　　　
	</tr>
	<tr>
    <td height="67" colspan="7" align="left"><p>
	<strong>2.评议情况</strong>：<br><br>
	&nbsp;&nbsp;&nbsp;&nbsp;评议人签字：&nbsp;&nbsp;&nbsp;<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><br><br>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">　　　　　　　　　　　　　　
	</tr>
	<tr>
    <td height="67" colspan="7" align="left"><p>
	<strong>3.公示情况</strong>：<br><br>
	&nbsp;公示地点：<input type="text" size="30" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;公示时间：<input type="text" size="1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月<input type="text" size="1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">日至<input type="text" size="1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月<input type="text" size="1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">日，共<input type="text" size="1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">天<p>
	&nbsp;公示结果：<input type="checkbox">无异议　<input type="checkbox">有异议　说明：<input type="text" size="60" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">　　　　　　　　　　　
	</tr>
	<tr>
    <td height="67" colspan="7" align="left"><p>
	<strong>4.审核或小额审批情况：</strong>&nbsp;&nbsp;&nbsp;<input type="checkbox" id="shjy" value="审批建议">审批建议&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="xesp" value="小额审批">小额审批<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助标准：救助人口：<input id="people1" type="text" size="2" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">人&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助月数：<input type="text" id="month1" size="2"  style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;适用低保标准：<input type="text" size="2" id="standard1" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元/月<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助方式：<input type="checkbox" id="shehuihua" name="way" value="社会化发放" >社会化发放<input type="text" id="money1" size="2"  value="" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元　&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="xianjin" name="way" value="发放现金" >发放现金<input type="text" size="2" id="money2" value="" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元　&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox">发放实物<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">（折现：<input type="text" size="2" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元）
	<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox">提供转介服务：<input type="text" size="70" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;经办人签字：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;审核（审批）主管签字：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;（公章）<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;相关领导签字(或签章)：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="5" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">年<input type="text" size="3" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月<input type="text" size="3" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">日　　　　　　
	</tr>
	<tr>
    	<td height="20" colspan="7" bgcolor="#BFBFBF" align="left"><strong>县（市、区）民政部门审批情况：</strong></td>
    </tr>
	<tr>
    <td height="67" colspan="7" align="left"><p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助标准：救助人口：<input type="text"id="people2" size="2" value="" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">人&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助月数：<input type="text" size="2" id="month2"  style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;适用低保标准：<input type="text" id="standard2" size="2"  style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元/月<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;救助方式：<input type="checkbox" id="shehuihua2" name="way" value="社会化发放">社会化发放<input  type="text" id="money3" size="2" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元　&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" id="xianjin2" name="way" value="发放现金" >发放现金<input type="text" size="2" id="money4" value="" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元　&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox">发放实物<input type="text" size="8" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">（折现：<input type="text" size="2" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">元）
	<br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox">提供转介服务：<input type="text" size="70" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;复核人签字：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black"><p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;主管科长（主任）签字：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;（公章）<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;相关领导签字(或签章)：<input type="text" size="20" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" size="5" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">年<input type="text" size="3" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">月<input type="text" size="3" style="border-top:none;border-left:none;border-right:none; border-bottom: 1px solid black">日　　　　　　
	</tr>
	</table><br>
	--------------------------------------------------------本页内容由管理审批机关填写--------------------------------------------------------------
	<!-- END 申请表第四页 -->
</div>
<input type="hidden" id="photo" name="photo" value="${emergency.photo }"/>
</center>
</body>
</html>
